8

Question 1

what nerve is compressed in tarsal tunnel syndrome

Answer 1

tibial nerve

Question 2

presentation acute osteomyelitis in children

Answer 2

severe pain
reluctant to move
non weight baring
swinging pyrexia
tachycardia
malaise
toxaemia

Question 3

antibiotics for acute osteomyelitis management

Answer 3

4-6 weeks

flucloxacillin + benzylpenicillin

Question 4

non surgical management of acute osteomyelitis

Answer 4

• rehydration
• analgesia
• rest and splintage
• antibiotics

Question 5

treatment of stable SUFEs

Answer 5

pinned in site

Question 6

what is a SUFE (slipped upper femoral epiphysis)

Answer 6

referring to a fracture through the growth plate (physis), which results in slippage of the overlying end of the femur (metaphysis).

Question 7

signs of transient synovitis

Answer 7

• allow joint to be examined
• low CRP
• normal WCC
• may joint infusion
• not that unwell

Question 8

what is transient synovitis

Answer 8

inflammation in the hip joint that causes pain, limp and sometimes refusal to bear weight.

Question 9

micromelia

Answer 9

all long bone present but small

Question 10

consequences of thalidomide

Answer 10

absence or deformity of long bones

Question 11

time to leave on cast for complete forearm fracture

Answer 11

6 weeks

Question 12

operative management of dupytrens contracture

Answer 12

• partial fasciectomy
• dermo-fasciectomy
• arthrodesis
• amputation

Question 13

management posterior tibial tendon dysfunction

Answer 13

• orthotics for medial arch support
• tendon reconstruction
• triple fusion (subtler, talanavicular and calcaneocuboid)

Question 14

management ankle arthritis

Answer 14

• bisphosphonates
• arthrodesis
• joint replacement
• if symptoms exclusively anterior, then orthopaedic anterior debridement

Question 15

non-operative treatment trigger finger

Answer 15

splint age

steroid injections

Question 16

describe posterior tibial tendon dysfunction

Answer 16

acquired adult flat foot planovalgus

Question 17

what is developmental dysplasia of the hip

Answer 17

condition where ball and socket of hip doesn’t form properly in babies or children

Question 18

presentation L4/5 lumbar disc prolapse

Answer 18

L5 sensory loss (big toe and first web space)

motor weakness of extensor hallicus longus

Question 19

causes of nerve root pain

Answer 19

• tearing of annulus fibrosis
• protrusion of nucleus
• nerve root compression by osteophytes

Question 20

describe type III a open fractures

Answer 20

high energy, extensive soft tissue damage,
severe fracture (comminution, displacement), wound >10cm;
any gunshot, farm accident, segmental fracture, bone loss, severe crush injury, marine
- soft tissue damage extensive
- not grossly contaminated

Question 21

investigations cauda equina

Answer 21

urgent MRI or CT lumbar myelogram

Question 22

presentation of cervical and lumbar spondylosis

Answer 22

• myelopathy
• UMN signs in limbs
• bilateral
• possible weakness
• spinal claudication